Provider Demographics
NPI:1447353040
Name:R R MAGUIRE MANAGEMENT INC
Entity type:Organization
Organization Name:R R MAGUIRE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MAGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-429-4553
Mailing Address - Street 1:101 S BALLARD AVE # B
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3941
Mailing Address - Country:US
Mailing Address - Phone:972-429-4553
Mailing Address - Fax:972-429-4233
Practice Address - Street 1:101 S BALLARD AVE # B
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3941
Practice Address - Country:US
Practice Address - Phone:972-429-4553
Practice Address - Fax:972-429-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC8409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B2888OtherBCBS